Children’s, parents’, and other stakeholders’ perspectives on the factors influencing the initiation of early dietary change in the management of childhood chronic disease: a mixed studies systematic review using a narrative synthesis

Pugh, Pearl; Hemingway, Pippa; Christian, Martin; Higginbottom, Gina

doi:10.1016/j.pec.2020.09.021

Cited by 3 publications

(1 citation statement)

References 42 publications

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“…We will use the coding manual on CFIR's official website to ensure the consistency and accuracy of coding (50)(51)(52)(53). Mixed studies reviews are becoming more common in health sciences due to the complex and sensitive context of interventions (54,55). This review is a comprehensive exploration of the barriers and facilitators, in which qualitative content is dominant, so we chose meta-synthesis instead of meta-analysis (56).…”

Section: Data Synthesismentioning

confidence: 99%

Barriers and facilitators to using procedural pain treatments in pediatric patients: protocol for a systematic review and meta-synthesis

Yan

Kang

et al. 2023

Preprint

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Background The incidence of procedural pain is high in pediatric patients. Poorly treated pain will contribute to a variety of short-term and long-term adverse effects in children. There are many evidence-based effective pain treatments for reducing procedural pain, such as topical anesthetics, skin-to-skin care, sweet solutions, and breastfeeding; however, in clinical settings, the rate of using these effective procedural pain treatments is still very low. This systematic review aims to synthesize the barriers and facilitators to the implementation of effective procedural pain treatments in pediatric patients. Methods Primary studies will be included if they report any barriers or facilitators to procedural pain treatments in pediatric patients. There are no restrictions on the year and language of publication of studies. Both published studies and grey literature will be identified. We will search published studies through Medline(OVID), EMBASE, CINAHL, PsycINFO, Web of Science, and Scopus. Grey literature will be searched through Google Scholar, OpenGrey, e-theses online service, ProQuest, WorldCat, Networked Digital Library of Theses and Dissertations, Open Access Theses and Dissertations, and public health organization websites. The Mixed Methods Appraisal Tool will be used to assess all studies' quality. The Consolidated Framework for Implementation Research will be used as a theoretical framework to code the barriers and facilitators in each study. A meta-synthesis method will be used to synthesize the findings across studies. Discussion In this review, the CFIR framework will be used to systematically collect and analyze barriers and facilitators to procedural pain management in pediatric patients. The mixed studies review is necessary to include the heterogeneity of different studies to give us a more complete picture of the context in which the intervention was implemented. The next step could be to develop interventions that target these factors to better improve clinical outcomes for patients. Systematic review registration CRD42022322319

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Section: Data Synthesismentioning

confidence: 99%

Barriers and facilitators to using procedural pain treatments in pediatric patients: protocol for a systematic review and meta-synthesis

Yan

Kang

et al. 2023

Preprint

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Key stakeholders' perspectives on the development of an early dietary phosphate self‐management strategy for children and young people with chronic kidney disease stages 1–3: A modified Delphi consensus process

Pugh,

Hemingway,

Christian

et al. 2024

J Human Nutrition Diet

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BackgroundAn early dietary phosphate intervention (EPI) can provide vital medical benefits supporting self‐management of chronic kidney disease (CKD) in childhood.ObjectiveTo utilise expert consensus to provide early modelling for an EPI to guide clinical practice across a paediatric renal network.MethodsForty‐eight statements across six domains were constructed following a systematic review and semi‐structured interviews with children and young people (CYP), parents and healthcare professionals (HCP). A three‐round online Delphi survey with parents and paediatric renal multi‐disciplinary healthcare experts was undertaken.ResultsTwenty‐one experts agreed on 56 statements over three Delphi rounds. Statements were accepted in all six domains: definition of an EPI (2), rationale (12), intended users (3), delivery (14) (when [1], where [3], who [2], how [8]), other considerations (16) and potential concerns (9).ConclusionsConsensus was reached on a definition and a set of guiding principles, providing some early modelling for implementation and future research on the development of an EPI strategy for CYP with CKD.

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Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity

Hampl¹,

Hassink²,

Skinner³

et al. 2023

Pediatrics

281

388

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Children’s, parents’, and other stakeholders’ perspectives on the factors influencing the initiation of early dietary change in the management of childhood chronic disease: a mixed studies systematic review using a narrative synthesis

Cited by 3 publications

References 42 publications

Barriers and facilitators to using procedural pain treatments in pediatric patients: protocol for a systematic review and meta-synthesis

Barriers and facilitators to using procedural pain treatments in pediatric patients: protocol for a systematic review and meta-synthesis

Key stakeholders' perspectives on the development of an early dietary phosphate self‐management strategy for children and young people with chronic kidney disease stages 1–3: A modified Delphi consensus process

Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity

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